School Sport Victoria Membership Application Form

School Sport Victoria Membership Application and Change Request Form

Applications close 30 June each year
APPLICATION or CHANGE
I am making this application as a:

School applying to join School Sport VictoriaSchool requesting to change or update existing membershio arrangements
If a school requesting to change or update existing membership arrangements what is the change you are wanting to make?
PERSON MAKING THE APPLICATION or CHANGE
Full Name:*

First NameLast Name
School Phone No:*
School Title:
Work E-mail:*
SCHOOL DETAILS
Full School Name:
Please do not use abbreviations
School Address:*

Street Address

Street Address Line 2

Suburb

Post Code
School E-mail (for SSV eNews and invoicing):*
example@example.com
Principal's Full Name:

First NameLast Name
Principal's E-Mail:
Sport Coordinator's Full Name:

First NameLast Name
Sport Coordinator's E-Mail:
School Year Levels?

Prep to 12Primary SchoolSecondary School
School Enrollment Details
Total
Prep Girls:
Prep Boys:
Year 1 Girls:
Year 1 Boys:
Year 2 Girls:
Year 2 Boys:
Year 3 Girls:
Year 3 Boys:
Year 4 Girls:
Year 4 Boys:
Year 5 Girls:
Year 5 Boys:
Year 6 Girls:
Year 6 Boys:
Year 7 Girls:
Year 7 Boys:
Year 8 Girls:
Year 8 Boys:
Year 9 Girls:
Year 9 Boys:
Year 10 Girls:
Year 10 Boys:
Year 11 Girls:
Year 11 Boys:
Year 12 Girls:
Year 12 Boys:
Do you anticipate participation over a twelve month period in all School Sport Victoria events across all applicable age groups ? (10 to 19 years)

YesNo
If you have answered "No" above, please let us know which sports you are expecting to participate in?
Terms of Admission
1. School Sport Victoria (SSV) competition is governed by the Rules and Procedures available on the SSV website (www.ssv.vic.edu.au) and the policies and documentation of the Victorian Department of Education;

2. SSV will allocate schools into the most appropriate playing competition determined on geographical location. This is district competition for primary schools and division competition for secondary schools;

3. SSV staff will consult with local school sport division and/or region coordinators on the reccomended allocation, to the SSV CEO, of schools to Primary Districts or Secondary Divisions;

4. School membership entitles full participation including state championships & full membership obligations inclusive of code of ethics, facilities, child safe and ongoing requirements as determined by the CEO of SSV;

5. Participation in an alternate regular school sport competition prohibits membership in SSV Regular School Sport for Secondary Schools. This is defined as: “Schools participating in any inter-school sporting competitions as part of a formalised school sporting association other than School Sport Victoria”;

6. Memberships and any conditions of membership are subject to a review at any time after the first 12 months of participation;

7. Member schools must pay any annual fee by the due date in any year to SSV and local competition area otherwise they are not entitled to participate in School Sport Victoria activities.
I have read and understand the above*

Terms of Admission
Membership Rules
Principal Endorsement
For this Application to proceed, SSV requires the Principal to endorse this application. So we will be sending an email to the Principal, please ensure the Principal's email is correct below.
Principal's Full Name:

First NameLast Name
Principal's E-Mail:
Should be Empty:

School Sport Victoria Membership Application and Change Request Form

APPLICATION or CHANGE

PERSON MAKING THE APPLICATION or CHANGE

SCHOOL DETAILS

Terms of Admission

Membership Rules

Principal Endorsement